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Epinet 

Uniform Blood and Body Fluid Exposure Report
77 Hospitals, 1993-1995

Total Cases: 1840

JOB CATEGORY
M.D. (attending/staff) 57 3%
M.D. (intern/resident/fellow) 105 6%
Medical student 13 1%
Nurse RN/LPN 978 53%
Nursing student 20 1%
Respiratory therapist 74 4%
Surgery attendant 46 3%
Other attendant 138 8%
Phlebotomist/venipuncture/I.V. team 43 2%
Clinical laboratory worker 94 5%
Technologist (non-lab) 101 5%
Dentist 0 0%
Dental hygienist 1 0%
Housekeeper/laundry worker 18 1%
Other 133 7%
( 2 missing)


PLACE OF OCCURRENCE
Where did the injury occur in the institution?
Patient room 797 43%
Outside patient room 38 2%
Emergency department 144 8%
Intensive/critical care unit 231 13%
Operating room 225 12%
Outpatient clinic/office 35 2%
Blood bank 16 1%
Venipuncture 1 0%
Dialysis facility 7 0%
Procedure room 108 6%
Clinical laboratories 81 4%
Autopsy/pathology 5 0%
Service/utility area 8 0%
Other 135 7%
( 2 missing)


SOURCE PATIENT
Was the source patient known?
Yes 1722 94%
No 55 3%
Unknown 39 2%
N/A 20 1%
( 2 missing)


BODY FLUIDS
Which body fluids were involved in the exposure?
Blood or blood product 1068 58%
Vomit 87 5%
CSF 6 0%
Peritoneal fluid 23 1%
Pleural fluid 19 1%
Amniotic fluid 30 2%
Urine 161 9%
Other 468 25%


EXPOSED PART
Was the exposed part:
Intact skin 650 35%
Non-intact skin 88 5%
Eye(s) 1404 76%
Nose 128 7%
Mouth 308 17%
Other 57 3%


TYPE OF EXPOSURE
Did the blood or body fluid:
Touch unprotected skin 1658 90%
Touch skin through gap between protective garments 143 8%
Soak through protective garment 20 1%
Soak through clothing 77 4%


PROTECTIVE ITEMS WORN
Which protective items were worn at the time of the exposure?
Single pair latex/vinyl gloves 1261 69%
Double pair latex/vinyl gloves 135 7%
Goggles 60 3%
Eyeglasses 284 15%
Faceshield 50 3%
Surgical mask 262 14%
Surgical gown 241 13%
Plastic apron 14 1%
Lab coat, cloth 177 10%
Lab coat, other 34 2%
Other item 129 7%


RESULT
Was the exposure the result of:
Direct patient exposure 896 49%
Specimen container leaked/spilled 116 6%
Specimen container broke 28 2%
IV tubing/bag/pump leaked 149 8%
Other body fluid container spilled/leaked 191 10%
Touched contaminated equipment 31 2%
Touched contaimnated drapes/sheets, etc. 12 1%
Unknown 9 0%
Other 382 21%
( 8 missing)


TIME IN CONTACT
For how long was the blood or body fluid in contact with your skin or mucous membranes?
Less than 5 minutes 1463 80%
5-14 minutes 237 13%
15 minutes - 1 hour 92 5%
More than 1 hour 34 2%
( 11 missing)


QUANTITY
Estimate the quantity of blood/body fluid that came in contact with your skin or mucous membranes:
Small amount (up to 5 cc) 1656 90%
Moderate amount (5-50 cc) 132 7%
Large amount (more than 50 cc) 38 2%


BODY PART
Right hand, back 10
Right hand, front 6
Left hand, front 12
Left hand, back 3
Right arm 58
Left arm 32
Head 2684
Chest 78
Back 0
Mid-body 5
Right leg 7
Left leg 7
Right foot 1
Left foot 0


OSHA
Is this incident OSHA reportable?
Yes 240 13%
No 1208 66%
( 386 missing)


For those cases that are OSHA reportable:
Cumulative number of days away from work: 0
Cumulative number of days of restricted work activity: 0